MEDICARE: SCOT RICHARD MORRIS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	L0436	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	107604	OTHER	SUPERIOR
2	272092	OTHER	AMERIGROUP
3	0094GS	OTHER	BCBS
4	8B8060	OTHER	BCBS
5	0070668	OTHER	BLUE LINK

General Provider Information

NPI Number	:	1023120011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOT RICHARD MORRIS MD

Provider Business Mailing Address
First Line	:	2500 CROCKETT DRIVE
Second Line	:
City	:	BROWNWOOD
State	:	TX
Zip	:	76801-5900
Country	:	US
Telephone Number	:	325-643-5456
Fax Number	:	325-643-9590

Provider Business Practice Location Address
First Line	:	PEDIATRICS OF BROWNWOOD
Second Line	:	2500 CROCKETT DRIVE
City	:	BROWNWOOD
State	:	TX
Zip	:	76801-5900
Country	:	US
Telephone Number	:	325-643-5456
Fax Number	:	325-643-9590

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/08/2007

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Directions to “ SCOT RICHARD MORRIS MD” Practice Location

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